Dropped by
a chokidai handler (Sebilis)
a crypt enforcer (The Crypt of Agony)
a crypt juggernaut (The Crypt of Agony)
a crypt skullcrusher (The Crypt of Agony)
a dialated retaliator (Runnyeye: The Gathering)
a gnashing devourer (Jarsath Wastes)
a helot spirit (Charasis: Vault of Eternal Sleep)
a mist grinnin savage (Runnyeye: The Gathering)
a nettle spined succulent (Jarsath Wastes)
a pyre golem (Charasis: Vault of Eternal Sleep)
a Sathirian sentry (Charasis: Maiden's Chamber)
a tormented jin (The Crypt of Agony)
a tormented kor (The Crypt of Agony)
a tormented krup (The Crypt of Agony)
a tormented reet (The Crypt of Agony)
a vile stoneleer (Jarsath Wastes)
an agitated corpse (The Crypt of Agony)
an unfathomable gnawer (Charasis: Maiden's Chamber)
Arch Duke Latol (The Crypt of Agony)
Baron Yosig (The Crypt of Agony)
Barrelspike (Jarsath Wastes)
Gruplinort (The Crypt of Agony)
Guardian of Eternity (Charasis: Vault of Eternal Sleep)
Harbringer Freglor (The Crypt of Agony)
Hierophant Prime Grekal (The Crypt of Agony)
Maitre d' Rixrir (Sebilis)
Old Whitefoot (Kunzar Jungle)
The Keeper of Dreams (Charasis: Vault of Eternal Sleep)
Wildhorn the Rampager (Chardok)
Xalgoz (Karnor's Castle)

Confirmed Locations
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Mobs that drop this item also drop